Active NPI
Bradley Leonard Zink, DO
- Family Medicine Physician
- Odessa, MO
National Provider Identifier
1316901010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DOR9F95
- Practice address
- 408 N 4TH St
Suite B
Odessa, MO 64076-1646 - Phone
- (816) 230-8777
- Fax
- (816) 230-8855
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DOR9F95 | MO | Primary |
Addresses
Primary practice location
408 N 4TH St
Suite B
Odessa, MO 64076-1646
Mailing address
408 N 4TH St
Suite B
Odessa, MO 64076-1646
Phone (816) 230-8777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12844049 | Other | MO | BC/BS KC IND PROV |
| 080185566 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091123000448 | MO | Practitioner - Family Practice | 4789606260 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOR9F95 | MO | MD | Family Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJFIBA/Endpoint/HJFIBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital
-
- General Acute Care Hospital
- Blue Springs, MO
- NPI 1912303579
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Odessa Medical Clinic PC
Practice addresses (Care Compare)
408 N 4TH St
Suite B
Odessa, MO 64076-1646
Phone (816) 230-8777
Hospital & facility affiliations
- Centerpoint Medical Center
- St Mary'S Medical Center
- University of Kansas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1316901010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N 4TH ST",
"address_2": "SUITE B",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761646",
"telephone_number": "816-230-8777",
"fax_number": "816-230-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N 4TH ST",
"address_2": "SUITE B",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761646",
"telephone_number": "816-230-8777",
"fax_number": "816-230-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "BRADLEY",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "DOR9F95",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KC IND PROV",
"identifier": "12844049",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080185566",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.